PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST (EIN 91-0666887)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-14
IRS object ID
201102269349300705
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-14T13:11:13-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1700AddressLine1
CityBELLEVUECity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN910666887EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWESTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPRESNameControl
Phone2068262110Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 9TH AVENUE SUITE 400AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98104ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTAMERYN CAMPBELLName
TitlePRESIDENT & CEOTitle
Phone2068262110Phone
Date Signed2011-08-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSara Elizabeth J HyreName
Phone4254544919Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTAMERYN CAMPBELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1715 9TH AVENUE SUITE 400AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98104ZIPCode
FieldValueIRS element (for citing)
Gross Receipts27754048GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.PRCN.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1956YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionCREATE RESIDENTIAL COMMUNITIES THAT PROVIDE EXCELLENT SERVICES AND ENRICH THE LIVES OF SENIORS.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees467TotalNbrEmployees
Total Nbr Volunteers16TotalNbrVolunteers
Total Gross UBI75473TotalGrossUBI
Net Unrelated Business Txbl Income-48145NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year14701ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16384810ProgramServiceRevenuePriorYear
Program Service Revenue CY21983719ProgramServiceRevenueCY
Investment Income Prior Year547664InvestmentIncomePriorYear
Investment Income Current Year738905InvestmentIncomeCurrentYear
Other Revenue Prior Year186819OtherRevenuePriorYear
Other Revenue Current Year191622OtherRevenueCurrentYear
Total Revenue Prior Year17133994TotalRevenuePriorYear
Total Revenue Current Year22914246TotalRevenueCurrentYear
Grants And Similar Amnts CY1250GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9312774SalariesEtcPriorYear
Salaries Etc Current Year13067562SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6694834OtherExpensePriorYear
Other Expenses Current Year29325616OtherExpensesCurrentYear
Total Expenses Prior Year16007608TotalExpensesPriorYear
Total Expenses Current Year42394428TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1126386RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-19480182RevenuesLessExpensesCY
Total Assets BOY284858176TotalAssetsBOY
Total Assets EOY279527548TotalAssetsEOY
Total Liabilities BOY272871303TotalLiabilitiesBOY
Total Liabilities EOY285292345TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11986873NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-5764797NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE CONTINUING CARE AND SENIOR HOUSING IN THE SEATTLE AREA ACROSS THREE CONTINUING CARE RETIREMENT COMMUNITIES. OUR VISION IS TO CREATE THRIVING RESIDENTIAL HOMES THAT PROVIDE EXCELLENT SERVICES AND ENRICH THE LIVES OF SENIORS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense35558390Expense
Grants1250Grants
Revenue22080501Revenue
DescriptionPROVIDE NURSING CARE, ASSISTED AND INDEPENDENT LIVING FOR THE ELDERLY, SERVING APPROXIMATELY 413 RESIDENTS.Description
Total Program Service Expense35558390TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096104NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees467NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJIM YAMAMOTONamePerson
Telephone Number2068262110TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1715 9TH AVENUE SUITE 400AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98104ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ROB MITCHELL
VICE CHAIR3.00XX000
GREG ROBINSON
TREASURER4.00XX000
BONNIE BRIAN CALDWELL
DIRECTOR3.00X000
LUCILLE KELLEY
DIRECTOR1.00X000
JOHN ESHELMAN
DIRECTOR3.00X000
CAROLE CONGER
DIRECTOR3.00X000
RICHARD MATHEWS
DIRECTOR3.00X000
JAMES MELHORN
DIRECTOR3.00X000
GARY HOULAHAN
DIRECTOR3.00X000
PAUL COLLINS
DIRECTOR2.00X000
HEATHER JAMES
DIRECTOR3.00X000
TOM JOHNSTON
DIRECTOR3.00X000
DOUG DIEKEMA
DIRECTOR3.00X000
TOM VALSILATOS
DIRECTOR3.00X000
KAY BROWELEIT
DIRECTOR3.00X000
REV SCOTT LUMSDE
EX-OFFICIO DIRECTOR0.10X000
TAMERYN CAMPBELL
PRESIDENT & CEO40.00X000
MARSH KELLEGREW
PRESIDENT & CEO & BOARD CHAIR40.00X8235400
RACHEL RUGGERI
CFO & SECRETARY THRU 1/201040.00X15174806598
JEFF CRANDALL
VICE PRESIDENT40.00X12061508698
ALAN FLETCHER
EXECUTIVE DIRECTOR40.00158495012700X
SALLY NAFZIGER
VP SALES & MARKETING40.0011304008134X
THOM HOWSON
VICE PRESIDENT - HR40.0010882008966X
JANET NAHLIN
DIRECTOR OF NURSING40.00107361010759X
WES BARD
EXECUTIVE DIRECTOR40.0010369305061X
DAVE GIELCZYK
DIR. ENVIRONMENTAL SVCS40.0010137604565X
BRIAN ENGLUND
FORMER PRESIDENT & CEO40.0015409909767X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1201601TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation75248TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SELLEN CONSTRUCTION
227 WESTLAKE AVE NSEATTLEWA98109CONTRACTOR7404354
GREYSTONE DEVELOPMENT
222 W LAS COLINAS BLVDIRVINGTX75039CONSULTING2783520
STUDIOSIX5
336 SOUTH CONGRESS SUITE 165AUSTINTX78707INTERIOR DESIGN1134659
PERKINS WILL
10100 B CENTRAL EXPRESSWAYDALLASTX75231ARCHITECT503911
RICE FERGUSEN
262 4TH STREETBREMERTONWA98337ARCHITECT436330
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENCY FEES6239901206718812067188
MEDICAL SERVICES62300064350526435052
ASSISTED LIVING62399034756633475663
OTHER90009958165816
FieldValueIRS element (for citing)
Total Program Service Revenue21983719TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1066106TotalRevenueColumn
Exclusion$1,066,106ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real80887Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real80887Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column80887TotalRevenueColumn
Related Or Exempt Function Income80887RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4512601Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4376066Securities
Other463736Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities136535Securities
Other-463736Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-327201TotalRevenueColumn
Exclusion-$327,201ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
GARAGE INCOME900099913681589575473
ASSISTED LIVING9000997474$7,474
TRANSPORTATION9000997242$7,242

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4651TotalRevenueColumn
Exclusion$4,651ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue110735TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22914246TotalRevenueColumn
Related Or Exempt Function Income22080501RelatedOrExemptFunctionIncome
Unrelated Business Revenue75473UnrelatedBusinessRevenue
Exclusion$758,272ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total1250Total
Program Services1250ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total701539Total
Program Services554216ProgramServices
Management And General147323ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9977989Total
Program Services7889851ProgramServices
Management And General2088138ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total121650Total
Program Services91238ProgramServices
Management And General30412ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1011160Total
Program Services695327ProgramServices
Management And General315833ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1255224Total
Program Services1012109ProgramServices
Management And General243115ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total302563Total
Management And General302563ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total218956Total
Program Services4302ProgramServices
Management And General214654ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total113990Total
Program Services39078ProgramServices
Management And General74912ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total69216Total
Management And General69216ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1306645Total
Program Services1137104ProgramServices
Management And General169541ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total109525Total
Management And General109525ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total464793Total
Program Services177182ProgramServices
Management And General287611ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total210474Total
Program Services96818ProgramServices
Management And General113656ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total15170317Total
Program Services14183543ProgramServices
Management And General986774ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total125338Total
Program Services8458ProgramServices
Management And General116880ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total31336Total
Program Services9221ProgramServices
Management And General22115ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8274381Total
Program Services7736163ProgramServices
Management And General538218ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total638326Total
Management And General638326ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
RAW FOOD & KITCHEN10620471062047
PURCHASED SERVICES914024733298180726
BAD DEBT128291128291
DUES/PERMITS/LICENSE878274586541962
UBI TAXES19611961

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total95606Total
Program Services81320ProgramServices
Management And General14286ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total42394428Total
Program Services35558390ProgramServices
Management And General6836038ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY502107BOY
EOY2846711EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY18846857BOY
EOY3115829EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY688686BOY
EOY7277555EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3000000BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY235721BOY
EOY397653EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis244644465LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec30338865LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY218108443BOY
EOY214305600EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY23071097BOY
EOY34850754EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY4470197BOY
EOY12142128EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15935068BOY
EOY4591318EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY284858176BOY
EOY279527548EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14512339BOY
EOY3743671EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY16438942BOY
EOY89627787EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY224485000BOY
EOY186690000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17435022BOY
EOY5230887EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY272871303BOY
EOY285292345EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11904277BOY
EOY-5764797EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY82596BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11986873BOY
EOY-5764797EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY284858176BOY
EOY279527548EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37649CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years126671CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14701CurrentTaxYearMinus1Year
Total192021Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14461812CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16252820CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16063743CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16481882CurrentTaxYearMinus1Year
Current Tax Year22080501CurrentTaxYear
Total85340758Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14499461CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16379491CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16076743CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16496583CurrentTaxYearMinus1Year
Current Tax Year22080501CurrentTaxYear
Total85532779Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50985532779PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years601572CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years528264CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years523801CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year519253CurrentTaxYearMinus1Year
Current Tax Year1066106CurrentTaxYear
Total3238996Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years601572CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years528264CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years523801CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year519253CurrentTaxYearMinus1Year
Current Tax Year1066106CurrentTaxYear
Total3238996Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year36468CurrentTaxYearMinus1Year
Current Tax Year19367CurrentTaxYear
Total55835Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15101033CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16907755CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16600544CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17052304CurrentTaxYearMinus1Year
Current Tax Year23165974CurrentTaxYear
Total88827610Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96290PublicSupportPercentage509
Prior Year Support Percentage0.96180PriorYearSupportPercentage
Investment Income Percentage0.03650InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03780PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$1,774GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB1774TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis13218689OtherCostOrOtherBasis
Book Value13218689BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis197280061OtherCostOrOtherBasis
Depreciation23436593Depreciation
Book Value173843468BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11216655OtherCostOrOtherBasis
Depreciation6032857Depreciation
Book Value5183798BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22929060OtherCostOrOtherBasis
Depreciation869415Depreciation
Book Value22059645BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings214305600TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DEPOSITS$2,571,841
SWAP AGREEMENTS$206,046
ACCRUED MARKETING FEES$2,453,000
FieldValueIRS element (for citing)
Total Of Amounts5230887TotalOfAmounts
Total Revenue22914246TotalRevenue
Total Expenses42394428TotalExpenses
Excess Or Deficit For Year-19480182ExcessOrDeficitForYear
Net Unrealized GL On Investments1728516NetUnrealizedGLOnInvestments
Other-$4OtherAmount
Total Adjustments1728512TotalAdjustments
Excess Or Deficit Per FS-17751670ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt24709893TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1728516NetUnrealizedGainsInvestments
Other Revenues67131OtherRevenues
Revenue Not Rptd F9901795647RevenueNotRptdF990
Revenue Subtotal22914246RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99022914246TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt42519502TotExpensesEtcAuditedFinclStmt
Other Expenses Included125074OtherExpensesIncluded
Expenses Not Rptd F990125074ExpensesNotRptdF990
Expenses Subtotal42394428ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99042394428TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:ROUNDING: -4.
Part XII, Line 2d - Other Adjustments:REVENUE FROM AFFILIATES: 66212. RENTAL REVENUE BETWEEN AFFILIATES: 919.
Part XIII, Line 2d - Other Adjustments:EXPENSE FROM AFFILIATES: 124155. RENTAL REVENUE BETWEEN AFFILIATES: 919.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RACHEL RUGGERI
151748000002100044980158346000
ALAN FLETCHER
158495000004658080420171195000
BRIAN ENGLUND
154099000003561062060163866000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aTAMERYN CAMPBELL (PRESIDENT & CEO) TEMPORARILY STAYED IN ONE OF THE VACANT APARTMENTS FOR APPROXIMATELY 2 MONTHS TO FACILITATE HER RELOCATION INTO THE AREA UPON EMPLOYMENT. ESTIMATED BENEFIT WAS $3,000.
Part IIIALAN FLETCHER WAS COMPENSATED BY GREYSTONE COMMUNITIES, AN UNRELATED ORGANIZATION, IN THE AMOUNT OF $171,195 IN WAGES AND OTHER COMPENSATION. FORMER CEO BRIAN ENGLAND WAS COMPENSATED DURING THE 2009 CALENDAR YEAR, BUT HIS EMPLOYMENT ENDED PRIOR TO THE BEGINNING OF THE FISCAL YEAR STARTING OCTOBER 1, 2009.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON STATE HOUSING FINANCE COMMISSION- Series ABusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN911874730IssuerEIN
CUSIP Number93978LDE3CUSIPNumber
Date Issued2007-02-28DateIssued
Issue Price204865405IssuePrice
Description Of PurposeCONSTRUCT A CONTINUING CARE RETIREMENT COMMUNITYDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds204865405TotalProceeds
Amount In Reserve Fund26888820AmountInReserveFund
Issuance Costs From Proceeds3869728IssuanceCostsFromProceeds
Capital Expenditures169068115CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1SOVEREIGN BANKBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge5.000000000000TermOfHedge
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11THE CONTROLLER REVIEWS THE 990 PRIOR TO SUBMISSION.
Form 990, Part VI, Section B, line 12cANNUALLY, A CONFLICT OF INTEREST FORM IS DISTRIBUTED TO THE BOARD OF DIRECTORS AND OFFICERS. THE CEO TYPICALLY REVIEWS THE FORMS AND IDENTIFIES ANY CONFLICTS. IF A CONFLICT IS FOUND, THAT BOARD MEMBER REMOVES HIMSELF OR HERSELF FROM VOTING ON OR DISCUSSING THAT MATTER.
Form 990, Part VI, Section B, line 15THE BOARD USES AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION SURVEY TO ANNUALLY DETERMINE THE CEO AND CFO'S COMPENSATION. THE CEO IS RESPONSIBLE FOR CONDUCTING THE REVIEW OF OTHER OFFICERS' COMPENSATION (EXECUTIVE DIRECTORS).
Form 990, Part VI, Section C, line 19PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART I, LINE 6:THERE WERE 16 VOLUNTEER MEMBERS ON THE BOARD OF DIRECTORS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1FH LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1715 9TH AVENUE SUITE 400AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98104ZIPCode
FieldValueIRS element (for citing)
EIN910666887EIN
Primary ActivitiesOPERATE RETIREMENT COMMUNITYPrimaryActivities
Legal Domicile StateWALegalDomicileState
Total Income-18378880TotalIncome
EOY Assets240395984EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1PRESBYTERIAN RETIREMENT NORTHWEST FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1715 9TH AVENUE SUITE 400AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98104ZIPCode
FieldValueIRS element (for citing)
EIN911586491EIN
Primary ActivitiesBENEFIT RESIDENTS AND EMPLOYEESPrimaryActivities
Legal Domicile StateWALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11-TYPE 1PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWESTBusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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